| NPI | 1881218634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 011255) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5422) |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2025-10-02 |